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General NPI Number Information
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NPI Number | 1114610326
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Entity Type | Organization
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Legal Business Name | K.E. THERAPY LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 3969 E ARAPAHOE RD
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City | CENTENNIAL
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State | CO
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Zip | 80122-2071
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Country | US
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Telephone | 405-213-7318
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Fax |
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Provider Business Mailing Address
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Address Line | 5289 E BRIARWOOD AVE
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City | CENTENNIAL
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State | CO
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Zip | 80122-2305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KATHERINE KEEGAN WOLF
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Credential |
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Telephone | 405-213-7318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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